Jacek F. Gogolok
MD | Pediatric Neonatal-Perinatal Medicine | Male
Jacek F. Gogolok, MD is a Fontana, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Jacek F. Gogolok is
9961 Sierra Ave, Fontana, California - 92335-6720. He can be contacted on phone at
909-427-3910.
Jacek F. Gogolok is a sole proprietor of his business.
NPI number (Unique professional ID) for Jacek F. Gogolok is
1871641746 which was assigned by NPPES on 08 Jan, 2007 and it was last updated on 01 Dec, 2021.
Jacek F. Gogolok license number is
A39591 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Jacek F. Gogolok is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Jacek F. Gogolok basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Jacek F. Gogolok |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jacek F. Gogolok address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9961 Sierra Ave
Fontana, CA, 92335-6720
United States |
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| Phone Number : | 909-427-3910 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871641746 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jan, 2007 |
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| Last Updated On : | 01 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacek F. Gogolok are as mentioned. Primary taxonomy code for Jacek F. Gogolok, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | A39591 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 9961 SIERRA AVE,
FONTANA, CA, 92335-6720
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9961 Sierra Ave
Fontana, CA, 92335-6720
United States |
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| Phone Number : | 909-427-3910 |
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Business Location:
Patients can refer following map for directions to
Jacek F. Gogolok practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.